FLORA software: semi-automatic LGE-CMR analysis tool for cardiac lesions identification and characterization.

Cardiac radiology Ischemic cardiomyopathies Late gadolinium enhancement (LGE) Magnetic resonance imaging (MRI) Non-ischemic cardiomyopathies Quantification software

Journal

La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 28 02 2022
accepted: 23 03 2022
pubmed: 19 4 2022
medline: 27 5 2022
entrez: 18 4 2022
Statut: ppublish

Résumé

Today there is a growing interest in the quantification of late gadolinium enhancement (LGE) in ischemic and non-ischemic cardiac pathologies. We build an automatic self-made free software FLORA (For Late gadOlinium enhanced aReas clAssification) for the recognition, classification and quantification of LGE areas that allows to improve the observer's performances and that homogenizes the evaluations between different operators. We have retrospectively selected 120 CMR exams: 40-ischemic with evident scar tissue on LGE sequences; 40-non-ischemic cardiomyopathy; 40-any myocardial alteration on CMR, especially on LGE sequences. FLORA's performance was compared to the radiologist's evaluation. FLORA identified both ischemic and non-ischemic myocardial lesions in almost all cases (80/80 and 79/80 for the double-Gaussian fit method and fixed-shift method, respectively, with sensitivity and specificity of 100%/98.8% and 55%/50%, respectively). The best results were obtained from the classification of ischemic myocardial damage, which was correctly identified in 85%-95% of cases. FLORA also increases the agreement between observers and allows a quantitative evaluation of transmurality. FLORA has proven to be an applicable tool that improves and facilitates the classification of LGE areas allowing their quantification.

Identifiants

pubmed: 35435606
doi: 10.1007/s11547-022-01491-8
pii: 10.1007/s11547-022-01491-8
doi:

Substances chimiques

Contrast Media 0
Gadolinium AU0V1LM3JT

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

589-601

Informations de copyright

© 2022. Italian Society of Medical Radiology.

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Auteurs

Silvia Pradella (S)

Department of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.
Italian Society of Medical and Interventional Radiology, SIRM Foundation, Milan, Italy.

Lorenzo Nicola Mazzoni (LN)

Medical Physics Unit Pistoia Prato, Azienda Usl Toscana Centro, Pistoia, Italy.
Medical Physics Unit, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy.

Mayla Letteriello (M)

Department of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.

Paolo Tortoli (P)

Medical Physics Unit, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy.

Silvia Bettarini (S)

Medical Physics Unit, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy.

Cristian De Amicis (C)

Department of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.

Giulia Grazzini (G)

Department of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy. grazzini.giulia@gmail.com.

Simone Busoni (S)

Medical Physics Unit, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy.

Pierpaolo Palumbo (P)

Italian Society of Medical and Interventional Radiology, SIRM Foundation, Milan, Italy.
Department of Diagnostic Imaging, Area of Cardiovascular and Interventional Imaging, Abruzzo Health Unit 1, L'Aquila, Italy.

Giacomo Belli (G)

Medical Physics Unit, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy.

Vittorio Miele (V)

Department of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.

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